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Florida rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.06 / $2,632.10 / $9,095.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.52 / $325.58 / $505.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.70 / $327.23 / $389.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.09 / $356.64 / $582.34
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.00 / $2,894.00 / $6,108.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.69 / $301.52 / $454.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.23 / $443.71 / $575.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.01 / $368.60 / $636.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.41 / $300.01 / $300.01